Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christian Moneke-Obiekwe

Individual provider Physician Assistant · NPI 1366281289

Christian Moneke-Obiekwe is a Physician Assistant in Providence, Rhode Island. Qualified in 2024, 2 years ago. Practices with Interventional and Functional Pain Center, a 3-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-6877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01756 (RI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1366281289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Interventional And Functional Pain Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence